Stillbirth Risk Higher in Women with Diabetes

Pregnant women with diabetes may be more likely to experience a stillbirth when they have obesity or poorly managed blood sugars, a new study suggests as reported in Reuters Health

Even without these extra health issues, women with diabetes who become pregnant face a four to five times higher risk of stillbirth than women without diabetes researchers note in Diabetologia.

“The question has to be asked whether earlier delivery of diabetic pregnancies could prevent these term stillbirths, but we don’t know the answer to this,” said Dr. Sharon Mackin, lead author of the study and a researcher at the University of Glasgow in Scotland.

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Divabetic’s Diabetes Late Nite Podcast

We’re talking about Secrets to Longevity & Diabetes with musical inspiration from Dionne Warwick. Guests include The Lager Queen of Minnesota and Kitchens of the Great Midwest Author J. Ryan Stradal, Deborah Greenwood PhD, RN, BC-ADM, CDE, FAADE, Fonzi Thornton, Rachel Stahl MS, RD, CDN, CDE, and Lorraine Brooks. Throughout the podcast we will be featuring music from Dionne Warwick’s ‘Dionne’ album featuring I’ll Never Love This Way Again and Deja Vu courtesy of SONY Music.

Rain On Me is A Mental Health Anthem

Anyone familiar with Lady Gaga’s story is also familiar with her mental health challenges and her strong advocacy for comprehensive mental health care reform.

Her new song, Rain On Me, with Ariana Grande, seems to seamlessly blend her advocacy work with her music.  “Rain on Me.” is an empowering duet about persevering through hardship, healing, and finding beauty in the pain, heartbreak, and life.

Lady Gaga told Yahoo News, ‘Rain On Me,’ the lyrics that I wrote right here in this studio, ‘I’d rather be dry, but at least I’m alive. Rain on me.’ This is about an analog of tears being the rain. And you know what it’s also a metaphor for, is the amount of drinking that I was doing to numb myself. I’d rather be dry. I’d rather not be drinking, but I haven’t died yet. I’m still alive. Rain on me. Okay, I’m going to keep on drinking. This song has many layers.”

Specifically, it seems like Lady Gaga is talking about alcohol and the way people use it to numb the pain in her lyrics.

Heavy alcohol use can have dangerous consequences for people with diabetes, including coma and death. Alcohol abuseis treatable through personalized treatment capable of meeting each patient’s medical needs.

Mental health affects so many aspects of daily life—how you think and feel, handle stress, relate to others, and make choices. You can see how having a mental health problem could make it harder to stick to your diabetes care plan.

People with diabetes are 2 to 3 times more likely to have depression than people without diabetes according to the Center for Disease Control and Prevention (CDC). Only 25% to 50% of people with diabetes who have depression get diagnosed and treated. But treatment—therapy, medicine, or both—is usually very effective. And without treatment, depression often gets worse, not better.

Back in 2014, Lady Gaga opened up about her struggles with mental health.. She spoke out about being raped at age 19 and the subsequent mental health challenges she experienced as a result, including post-traumatic stress disorder. She also maintains that her mental struggles manifested into physical symptoms, like chronic pain and panic attacks. 

Divabetic Mystery Phrase Game

Lady Gaga’s Born This Way Foundation works to shed light on toxic behavior patterns and improve conditions and treatment options for those in need of help.

Divabetic’s Diabetes Late Nite podcast guests include Author of the Noodle Shop Mysteries: Vivien Chien, Lorraine Brooks, Sara (Mandy) Reece, PharmD, CDE,  Dr. Wendy Satin Rapaport PhD, Patricia Addie-Gentle RN, CDE, and Alexis Gray and music from Maren Morris.  

Undetected Diabetes May Double Risk of Heart Attack

New research finds an intriguing link between undetected blood sugar disorders and the development of heart attacks and severe gum disease.

For decades, researchers have probed the link between gum disease and cardiovascular health. Gum disease begins when plaque builds up around teeth. A completely different type of plaque — made of fat, cholesterol, calcium, and other substances found in blood — can build up inside arteries. Known as atherosclerosis, this fatty plaque is the hallmark of coronary artery disease.

Photo by Hush Naidoo on Unsplash

The risk of mortality from ischemic heart disease combined with diabetes-related kidney complications is three times higher in people who have both diabetes and severe periodontitis, compared with people who only have diabetes.

“Periodontal disease increases the body’s burden of inflammation,” says periodontist Dr. Hatice Hasturk of the Harvard-affiliated Forsyth Institute, a not-for-profit research organization focused on oral health. Acute inflammation — which involves an outpouring of immune cells that attack irritants and microbial invaders — fosters healing over the short term.

Gingivitis can turn into periodontal disease if left untreated. The gums become loose around the root of the tooth, creating a gum pocket that gradually deepens. Eventually, the infection and inflammation can cause the tooth to loosen and possibly fall out.

Daily toothbrushing and flossing can prevent and even reverse an early stage of gum disease, known as gingivitis.

Divabetic’s Diabetes Late Nite podcast

We’re talking about ‘Diabetes & Pride’ on June’s Diabetes Late Nite podcast with musical inspiration from Ricky Martin.

We’re talking about nighttime diabetes management with musical inspiration from Gladys Knight & The Pips courtesy of SONY Music. Guests include Stacey Harris aka ‘The Diabetic Pastry Chef’, Mary Ann Hodorowicz, RD, LDN, MBA, CDE, CEC,  the Charlie’s Angels of Outreach, SleepyHead Central founder Tamara Sellman RPSGT, CCSH, Poet Lorraine Brooks and Mama Rose Marie.

Divabetic Smart Snacks #4

Choosing healthy snacks can be difficult when you have diabetes.

The key is to choose snacks that are high in fiber, protein and healthy fats. These nutrients will help keep your blood sugar levels under control.

It’s also important to snack on nutrient-dense foods that promote overall health.

Chickpeas, also known as garbanzo beans have close to 15 grams of protein and 13 grams of fiber in a 1-cup (164-gram) serving of chickpeas, making them an excellent snack for people with diabetes.

Oasis Mediterranean Cuisine’s Hommus Crisps

One of our new favorite snacks, Oasis Mediterranean Cuisine’s Hommus Crisps‘ contain: chickpeas, green lentils, corn, sesame seeds, vegetable oil, sea salt.

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Carb Kitty Video Games

Slightly Sinful Shortbread Recipe from SPLENDA®

A lot of us living with diabetes who are cutting back on high-carb foods like starches, desserts and processed snacks still have a sweet tooth.

Keep in mind, SPLENDA® contains maltodextrin and dextrose, two carbs that supply about 3 calories and 1 gram of carbs in each packet ( 6 ) even though it’s calorie-free. SPLENDA® can be substituted for sugar in a 1:1 ratio for most recipes.Happy baking! 

Combine flour, SPLENDA® Granulated and rice flour. Beat butter until smooth and creamy. Gradually add flour mixture, beating until smooth. Press evenly into a greased 8’ square baking pan. 
 
Bake at 325°F (160°C) for about 35 minutes or until lightly browned at the edges and firm to touch. Cool on rack. Cut into small squares. Store in the refrigerator.

FULL RECIPE

Divabetic Bookshelf: Shortbread And Sorrow

“A light, cozy mystery read with a cat-loving and cafe-owning amateur female sleuth, in a small English village setting with quirky characters. Written in British English. No cliffhanger, swearing, gore or graphic scenes! Contains mild peril.

Plot Summary: When Julia’s gran, Dot, wins an all-inclusive spa trip to Scotland, Julia finds it difficult to refuse the offer of a relaxing week away from her café. Along with her sister, Sue, they pack up her tiny vintage car and drive all the way from Peridale to Seirbigh Castle, ready to be pampered. The last thing Julia expected was to be caught up in another murder investigation, but when the cruel owner of the family-run spa, Henry McLaughlin, is shot dead, she can’t resist ditching the facemasks and massages in favour of cracking the case.

Julia quickly befriends the young cook and talented-baker, Blair, and acquires a job in the kitchen so she can observe the strange family in the wake of the murder. Henry’s wife and children are acting suspicious, and with an incompetent young Detective Inspector on the case, Julia makes it her mission to discover the secrets held within the ancient walls before Seirbigh Castle claims another victim.

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Divabetic’s Carb Kitty Video Game

Nails Salons Opening After the Virus: What You Should Know

UnSplash

We get it—you want to put your best foot forward with Summer approaching. But pampering and pretty polish might not be worth the price for someone living with diabetes.

Too often poor sanitation practices, shared tools, and the work of overzealous nail technicians can result in skin injuries or infections even prior to the panepidemic.

For someone living with diabetes, an infection can raise blood sugar levels, which, in turn, can  increase the risk of serious complications like ulcers or even amputation.

If you choose to go to a nail salon, you should invest in your own nail kit and bring it with you. Let your nail technician know you’re living with diabetes before your mani or pedi begins.

After your mani or pedi is finished, keep an eye on your hands, feet and legs for any signs of redness or infection. If you notice anything unusual, call your doctor right away.

New York State Equipment Requirements for Nail Salons Reopening In June 2020

As of June 15, 2015, nail salons must maintain the following equipment at each workstation and provide it to workers, upon request, and at no cost:

  • A properly fitted N-95 or N-100 respirator, approved by the National Institute for Occupational Safety and Health, for each individual who uses the workstation. All workers must have access to and be allowed to use these respirators when buffing or filing nails or when using acrylic powder.
  • Protective gloves made of nitrile, or another similar non-permeable material for workers with a sensitivity to nitrile gloves. You must have a sufficient number of gloves available so that each nail technician has access to and is allowed to use a new pair of gloves for each customer. All workers must wear gloves when handling potentially hazardous chemicals or waste and during cleanup, or when performing any nail service that has a risk of breaking the customer’s skin.
  • Protective eye equipment. All workers must have access to and be allowed to wear eye protection when preparing, transferring or pouring potentially hazardous chemicals.

A list of potentially hazardous chemicals commonly found in nail salons can be accessed here

Dr. Michele Summers Colon known as ‘The Holistic Podiatrist’ shares the healthiest height and style for  stilettos, a common dilemma women with diabetes, on April’s Diabetes Late Nite podcast.

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Blueberry Baked Oatmeal Recipe by Jill Weisenberger

What’s better than a delicious and healthy breakfast to please you and your family?

Diabetes Late Nite podcast guest, Jill Weisenberger MS, RDN, CDE, CHWC, FAND shares her simple but delicious Blueberry Baked Oatmeal Recipe!

Healthy Blueberry Baked Oatmeal 

Ingredients

  • 1 large egg, beaten
  • 12 fluid ounces orange juice
  • 1 teaspoon vanilla extract
  • 2 cups rolled oats
  • 6 tablespoon brown sugar, packed
  • 2 teaspoons ground cinnamon

FULL RECIPE

Are you thinking of adding oatmeal to your diet? We asked registered dietitian and certified diabetes educator, Jill Weisenberg for her advice about oatmeal

Q: Why is oatmeal a good food choice for people with diabetes?

Jill Weisenberger (JW): Oats have the viscous fiber called beta-glucan, which helps to sweep away cholesterol and lower blood sugar levels.

Q: Why or why not should someone with diabetes eat breakfast?


JW: In general, people who eat breakfast have greater insulin sensitivity, and it sometimes actually lowers high morning blood sugars in people with type 2 diabetes. That being said, if someone is in good control throughout the day and meeting health goals, and they don’t like eating breakfast, I certainly wouldn’t push it on them.

The latest numbers from the CDC suggest that nearly 1 in 3 adults have either prediabetes or diabetes. These are alarming numbers, and finding out that you are the one out of three can be even more alarming.  Shock, denial, and confusion are not uncommon reactions. But there is a flipside to learning you have prediabetes. It can be scary, but it’s also an opportunity—an opportunity to “reset,” to improve your health, and to get yourself in better shape than ever. Let Prediabetes: A Complete Guide show you how!

This comprehensive guide will lead you through dozens of concrete steps you can take to reduce the risk of developing type 2 diabetes and other lifestyle-related chronic diseases. Taking an individualized approach to your lifestyle reset, Prediabetes: A Complete Guide will allow you to choose your own path to wellness and help you gain a greater sense of wellbeing, boost confidence in your abilities to maintain a healthful lifestyle, and potentially even help you reverse prediabetes, avoid type 2 diabetes and other chronic illnesses, and have you feeling better than you have in years!

Diabetes Late Nite Podcast Inspired by Patti Austin

We’re celebrating Divabetic’s 8 Year Anniversary of Diabetes podcasting with musical inspiration from Patti Austin.

“I had type 2 diabetes,” says the former 285- pound singing sensation. “I had obesity-driven diabetes,” continued the now 140-pound Austin. To reach her new weight, Patti Austin had gastric bypass surgery and the result has been remarkable.

Podcast guests include Poet Lorraine Brooks, Jill Weisenberger MS, RDN, CDE, CHWC, FAND, Chris Pickering co-founder of ‘The Betes Bros, Patricia Addie-Gentle RN, CDE, and Mama Rose Marie.

what’s it all about? by Lorraine Brooks

what’s it all about? by Lorraine Brooks

ls it just for the moment we live?

Or shall we plan for what’s ahead?

Shall we look to stay empowered

Choosing hope instead of dread?

Diabetes notwithstanding,

We can choose the healthy way.

And we can say a little prayer

To get us going every day.

l’ll turn my house into a home

And look my illness in the eye

I want to make my choices count

To walk and hold my head up high.

For me it’s almost 40 years

l’ve dealt with diabetes now,

So far l’m doing very well

In keeping numbers nice and low.

Anyone who had a heart

Would understand the struggles faced

And anyone who wants to help

Is welcomed in my private space.

l never want to walk on by

And miss the pleasures to enjoy

I want to reach a ripe old age

So, healthy measures l employ.

Exercise is fun and good,

Vegetables and fruits and meat

Taking all my insulin

Covers all the foods l eat.

I thrive with my community

l’ve lived to 68 and more.

I couldn’t do it by myself,

l’m grateful, that’s what friends are for!

Listen to Lorraine Brooks read her poem, ‘what’s it all about?’ on May’s Diabetes Late Nite podcast CLICK HERE

Diabetes Late Nite Inspired by Dionne Warwick

We’re talking about Secrets to Longevity & Diabetes with musical inspiration from Dionne Warwick on May’s Diabetes Late Nite podcast.

Living longer and increasing your life expectancy with diabetes doesn’t have to be a chore. From flossing your teeth daily to getting a good night’s sleep, there are simple things you can do to help you live long, happy and healthy life.

Dionne Warwick has enjoyed a tremendously long career as a singer.  She ranks second to Aretha Franklin as the most charted female vocalist with 69 singles making the Billboard Hot 100 during the rock era (1955–1999).

Dionne Warwick once explained her longevity to Jet magazine, saying, “I really attribute it to remaining who I am and not jumping ship, being completely cognizant of what the people … are accustomed to hearing from me.”

Guests include The Lager Queen of Minnesota and Kitchens of the Great Midwest Author J. Ryan Stradal, Deborah Greenwood PhD, RN, BC-ADM, CDE, FAADE, Fonzi Thornton, Rachel Stahl MS, RD, CDN, CDE, and Lorraine Brooks.

Throughout the podcast we will be featuring music from Dionne Warwick’s ‘Dionne’ album featuring I’ll Never Love This Way Again and Deja Vu courtesy of SONY Music.

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What The Heck is Diabetes Technology?

Speaker, Author, Researcher in diabetes and digital health, Deborah Greenwood PhD, RN, BC-ADM, CDCES, FADCES joins us to talk about diabetes techonlogy and digital health on Divabetic’s Diabetes Late Nite podcast on Tuesday, May 12, 2020, 6 PM, EST.

There’s seems like no better time to discuss Diabetes Technology and Digital Health than right now during the panepidemic.

Doctors and hospitals are use telehealth tools for routine appointments without the burden of traditional barriers, such as reimbursement and privacy restrictions.

Big health insurance organizations are relaxing rules on early prescription refills and prior authorization requirements to allow patients to preorder and store medications and supplies.

What does it mean for you?

Well, here’s Deb’s answer to probably the most basic question about Diabetes Technology and Digital Health prior to our interview on Tuesday.

 Q: What the Heck is Diabetes Technology?

Deborah Greenwood (DG): “That is a great question because I think there is some confusion out there.  Many people, when they hear the term diabetes technology, think about diabetes “devices” like pumps and continuous glucose montiors (CGMs) and meters, but in reality diabetes technology is so much more. 

It is really a system that we like to call “technology-enabled care and education” that includes 4 key elements: 

1. Communication between the people with diabetes (PWD) and the healthcare team (in many different forms including text or phone or videochat or patient portal) 

2. The use of patient-generated health data, from diabetes devices we’ve discussed and from fitness trackers or other forms

3. The use of data to identify how both education and care can be tailored to the individual 

4. Feedback provided and discussed with the care team so changes can be made like medication, or activity plans or eating plans etc.”

Deborah Greenwood PhD, RN, BC-ADM, CDCES, FADCES is a diabetes care and education specialist who focuses on digital health. she is owner of Deborah Greenwood Consulting and recently started working as a Medical Science Liaison at Dexcom. She was the 2015 president of AADE.

Diabetes Late Nite Inspired by Dionne Warwick

We’re talking about ‘Secrets to Longevity & Diabetes’ with musical inspiration from Dionne Warwick on May’s Diabetes Late Nite podcast.

Living longer and increasing your life expectancy with diabetes doesn’t have to be a chore. From flossing your teeth daily to getting a good night’s sleep, there are simple things you can do to help you live long, happy and healthy life.

Dionne Warwick has enjoyed a tremendously long career as a singer.  She ranks second to Aretha Franklin as the most charted female vocalist with 69 singles making the Billboard Hot 100 during the rock era (1955–1999).

Dionne Warwick once explained her longevity to Jet magazine, saying, “I really attribute it to remaining who I am and not jumping ship, being completely cognizant of what the people … are accustomed to hearing from me.”

Guests include The Lager Queen of Minnesota and Kitchens of the Great Midwest Author J. Ryan Stradal, Deborah Greenwood PhD, RN, BC-ADM, CDE, FAADE, Fonzi Thornton, Rachel Stahl MS, RD, CDN, CDE, and Lorraine Brooks.

Throughout the podcast we will be featuring music from Dionne Warwick’s ‘Dionne’ album featuring I’ll Never Love This Way Again and Deja Vu courtesy of SONY Music.

Mr. Divabetic at the NYC Easter Parade